ELIZABETH MARIE RIDDLE (NPI# 1790391118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790391118 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARIE RIDDLE |
| Credential | RD, LD |
| Practice Address |
4955 Norton Healthcare Blvd Ste 102 Louisville KY 40241-2832 |
| Practice Telephone | 5023946415 |
| Practice Fax Number | 5022440684 |
| Mailing Telephone | 5023946415 |
| Mailing Fax Number | 5022440684 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 37003207A | IN | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 166845 | KY | Dietary & Nutritional Service Providers |
| N | 133VN1301X | 37003207A | IN | ||
| N | 133VN1301X | 166845 | KY |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1194113738 | Elizabeth Riddle | Registered Nurse | 405 S Glover Ave, Urbana, IL 61802-3530 | 2015-01-06 |
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1811340870 | Elizabeth Riddle | Physical Therapist | 3767 Delaware Ave, Kenmore, NY 14217 | 2016-07-14 |
| 1225479108 | Elizabeth A Riddle | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-07-08 |
| 1558661777 | Elizabeth Riddle | Case Manager/Care Coordinator | 6700 Middlebelt Rd, Romulus, MI 48174-2039 | 2010-10-22 |
| 1154528164 | Elizabeth Dey Riddle | Speech-Language Pathologist | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| 1457469496 | Elizabeth Riddle | Social Worker | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| Street Address |
4955 NORTON HEALTHCARE BLVD STE 102 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908727 | Laura Elizabeth Dean | Dietitian, Registered | 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 | 2020-09-25 |
| 1629684907 | Jaclyn Vaughn Moore | Dietitian, Registered | 234 E Gray St Ste 164, Louisville, KY 40202-1903 | 2020-09-22 |
| 1801401294 | Elizabeth Bell | Dietitian, Registered | 241 Franck Ave, Louisville, KY 40206-2544 | 2020-09-11 |
| 1235751504 | Jessica Leigh Heckroth | Dietitian, Registered | 633 E Main St Unit 558, Louisville, KY 40202-4711 | 2020-05-10 |
| 1164060356 | Jennifer Nixon | Dietitian, Registered | 3329 Wellingmoor Ave, Louisville, KY 40218-1028 | 2019-12-18 |
| 1023669025 | Olivia Nell Hoelker | Dietitian, Registered | 9105 Hassy Way, Louisville, KY 40299-6645 | 2019-09-23 |
| 1649829128 | Brooke Carroll Hendrick | Dietitian, Registered | 4506 Epinay Ct, Louisville, KY 40272-2777 | 2019-09-08 |
| 1407315153 | Shawn A. Sales | Dietitian, Registered | 1607 Bonnycastle Ave, Louisville, KY 40205-1012 | 2019-03-12 |
| 1821588443 | Catherine Boston | Dietitian, Registered | 2602 Merriwood Dr, Louisville, KY 40299-1735 | 2018-05-18 |
| 1689175283 | Katie Eileen Johnson | Dietitian, Registered | 4804 Nottinghamshire Dr, Louisville, KY 40299-1033 | 2018-02-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.